Active NPI
Brian J Cushin, MD
- Surgery Physician
- Bronx, NY
National Provider Identifier
1366524514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 182003
- Practice address
- Medical Arts Pavilion
3400 Bainbridge Avenue, 4TH FL
Bronx, NY 10467 - Phone
- (718) 920-8205
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 182003 | NY | Primary |
Addresses
Primary practice location
Medical Arts Pavilion
3400 Bainbridge Avenue, 4TH FL
Bronx, NY 10467
Mailing address
114 Millard Ave
Bronxville, NY 10708-2709
Phone (718) 920-8205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190103001673 | NY | Order and Referring Only - General Surgery | 6507950763 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- bcushin873484@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366524514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MILLARD AVE",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107082709",
"telephone_number": "718-920-8205",
"fax_number": "718-798-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL ARTS PAVILION",
"address_2": "3400 BAINBRIDGE AVENUE, 4TH FL",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHIN",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "182003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.